Microholes of the Macula

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Abstract
Objective: To describe the clinical syndrome of microholes of the macula. Patients: Fourteen patients with acute symptoms caused by full-thickness microholes of the macula. Results: Patients with macular microholes had the acute onset of a central scotoma with mild to moderate visual acuity loss. Examination revealed a detachment of the vitreous over the fovea, often with an operculum or a total posterior vitreous detachment, and a sharply demarcated, 50- to 133-μm round hole in the center of the macula. On follow-up, all patients had a stable or improved scotoma and visual acuity. Conclusions: Macular microholes appear to be caused by an acute detachment of the vitreous from the fovea and can be distinguished from Gass stage 2 idiopathic macular holes.

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